Oncology Reviews (Dec 2011)

A multimodal approach to eye melanoma: patterns of care and related complications

  • Maria Grazia Fabrini,
  • Federica Genovesi-Ebert,
  • Franco Perrone,
  • Letizia Forte,
  • Antonella Grandinetti,
  • Stanislao Rizzo,
  • Luca Cionini

DOI
https://doi.org/10.4081/oncol.2009.41
Journal volume & issue
Vol. 3, no. 1

Abstract

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We describe the results of multimodal treatment of uveal and conjunctival melanomas. A retrospective analysis was performed on 54 patients treated with a multimodal approach between 2003 and 2008 in a single institution. Main outcome measures were survival, enucleation rate, local tumor control, visual function preservation and complications associated with treatments. The median follow-up was 33.4 months. The 5-year overall survival was 95.3%, the local recurrence was 3.7% and the 5-year enucleation was 9.4%. Vision preservation was achieved in 84% of cases. Observed complications were cataract, retinal detachment, diplopia, glaucoma, retinopathy, optic neuropathy and scleral necrosis. A careful consideration of treatment of uveal melanoma in this study allowed us to obtain the survival rates and visual outcomes similar to previously published results, with a very small incidence of complications. the results must be interpreted in the light of recent findings on the genetic pattern of uveal melanoma.

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